Active NPI
Cindy Jewett, CRNA
- Certified Registered Nurse Anesthetist
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN107056
- Practice address
- 1009 Novus Dr Ste 2
Johnson City, TN 37604-8237 - Phone
- (423) 283-0776
- NPI assigned
- May 9, 2006
- Last updated
- Jul 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN107056 | TN | Primary |
Addresses
Primary practice location
1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Mailing address
1009 Novus Dr Ste 2
Johnson City, TN 37604-8237
Phone (423) 283-0776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3623776 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 390-0451
103 W Stone Dr
Kingsport, TN 37660-3220
Phone (423) 224-4910
135 W Ravine Rd
Suite 3 a
Kingsport, TN 37660-3847
Phone (423) 246-6777
2033 Meadowview LN
Suite 210
Kingsport, TN 37660-7569
Phone (423) 639-0941
300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 390-0451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10028 | TN | MD | Clinical Social Worker |
| RN107056 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Anesthesia Solutions Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastroenterology Associates | Current | Accepting new patients | |
| Kingsport TN Ophthalmology ASC LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Paragon Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kingsport TN Ophthalmology ASC LLC | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Tennessee Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Gastroenterology Associates | Current | Accepting new patients | |
| Sullivan and PTRS | Past | Accepting new patients | |
| American Anesthesiology Group of Tennessee, P. C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Meadowview ASC, LLC | Past | Accepting new patients |
Locations
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030
421 S Main St
Crossville, TN 38555
Phone (931) 260-1465
310 N State of Franklin Rd
Ste 202
Johnson City, TN 37604
Phone (423) 434-3700
103 W Stone Dr
Kingsport, TN 37660
Phone (423) 224-4050
10415 Wallace Alley St
Kingsport, TN 37663
Phone 4233900451 ext. 00451
10425 Wallace Alley St
Kingsport, TN 37663
Phone (423) 282-9011
130 W Stone Dr
Kingsport, TN 37660
135 W Ravine Rd
Ste 3-A
Kingsport, TN 37660
Phone (423) 246-6777
135 W Ravine Rd
Ste 5-B
Kingsport, TN 37660
Phone (423) 224-3460
2033 Meadowview Ln
Ste 210
Kingsport, TN 37660
Phone (423) 343-7820
999 Executive Park Blvd
Ste 100
Kingsport, TN 37660
Phone (423) 247-2022
Dept 888618
Knoxville, TN 37995
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Bristol, TN
- NPI 1164772109
Nurse Anesthetist, Certified Registered
-
- Specialist
- Kingsport, TN
- NPI 1770578270
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1538174974
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, TN
-
dba The Regional Eye Surgery Center
- Ambulatory Surgical Clinic/Center
- Kingsport, TN
- NPI 1649244211
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, TN
-
- Certified Registered Nurse Anesthetist
- Kingsport, TN
- NPI 1437436102
-
- Certified Registered Nurse Anesthetist
- Johnson City, TN
- NPI 1053881706
-
- Ambulatory Surgical Clinic/Center
- Johnson City, TN
- NPI 1659360071
-
- Specialist
- Bristol, TN
- NPI 1235330994
-
dba Regional Eye Surgery Center
- Certified Registered Nurse Anesthetist
- Kingsport, TN
- NPI 1497951826
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kingsport, TN
- NPI 1114927738
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1619926284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 NOVUS DR STE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048237",
"telephone_number": "423-283-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 NOVUS DR STE 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376048237",
"telephone_number": "423-283-0776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWETT",
"first_name": "CINDY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "RN107056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3623776",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.